Abdelkoui A, Lakhssassi N, Merzouk N, Berrada S
Faculté de médecine dentaire, avenue Allal El Fassi, rue Mohammed Jazouli, Madinat Al Irfane, BP 6212, Rabat-Instituts, Maroc.
ITI Study-Club de Rabat, Rabat, Maroc.
J Stomatol Oral Maxillofac Surg. 2017 Apr;118(2):132-135. doi: 10.1016/j.jormas.2017.01.005. Epub 2017 Feb 22.
Edentulous patients often hope for stable and retentive prostheses. In very unfavorable anatomophysiological circumstances, the implant-retained removable full denture is a simple and reliable option that considerably optimizes the prosthetic balance. We present the case of one of those patients taken in charge in our department.
A full edentulous 82 years old male patient was referred for a prosthetic rehabilitation. He presented with a negative mandibular crest and a very tonic peri-prosthetic musculature in the anterior region. He refused a bone augmentation surgery; we performed a piezographic mandibular prosthesis retained by a single symphyseal implant in a lingual position. The denture was stable and retentive. Comfort and masticatory efficiency were satisfactory and the psychological integration of the prosthesis was improved.
Several studies focusing on octogenarian patients concluded that a complete removable denture retained by a single symphyseal implant is a simple, efficient and cost-effective option. Studies including more patients are needed.
无牙颌患者通常希望获得稳定且固位良好的修复体。在非常不利的解剖生理情况下,种植体固位的可摘全口义齿是一种简单可靠的选择,能显著优化修复体的平衡。我们在此介绍在我们科室诊治的其中一位此类患者的病例。
一位82岁的无牙颌男性患者前来寻求修复治疗。他下颌牙槽嵴低平,前部义齿周围肌肉张力很高。他拒绝进行骨增量手术;我们为他制作了一种舌侧位置采用单个下颌正中联合种植体固位的压电式下颌义齿。该义齿稳定且固位良好。舒适度和咀嚼效率令人满意,并且义齿的心理接受度得到了改善。
多项针对八十多岁患者的研究得出结论,单个下颌正中联合种植体固位的全口可摘义齿是一种简单、有效且经济高效的选择。需要纳入更多患者的研究。